Temporary femoral nerve palsy after ilioinguinal nerve

Acta Anaesthesiol Taiwan · Dec 2007

Case Reports

Temporary femoral nerve palsy after ilioinguinal nerve blockade combined with splash block for post-inguinal herniorrhaphy analgesia in a pediatric patient.

Transient femoral nerve palsy (TFNP) is a complication of ilioinguinal nerve block that may result from spread of large volumes of local anesthetics at the inner surface of the different fascial planes. We report a 7-year-old healthy boy who underwent right inguinal hernia repair under general anesthesia. After induction of anesthesia, a percutaneous ilioinguinal nerve block was performed with 3 mL of 2% lidocaine in single-shot. ⋯ In the recovery room, quadriceps weakness and sensory loss over the anterior thigh were noted. The patient made a complete recovery 8 hrs after surgery without any treatment. We discuss the mechanism of this complication and strategies to reduce this complication.

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- Tung-Ying Tsai, Yu-Sheng Huang, Yu-Chuan Tsai, and Yen-Chin Liu.
- Department of Anesthesiology, Chia-Yi Christian Hospital, Chia-Yi, Taiwan, ROC.
- Acta Anaesthesiol Taiwan. 2007 Dec 1;45(4):237-40.
AbstractTransient femoral nerve palsy (TFNP) is a complication of ilioinguinal nerve block that may result from spread of large volumes of local anesthetics at the inner surface of the different fascial planes. We report a 7-year-old healthy boy who underwent right inguinal hernia repair under general anesthesia. After induction of anesthesia, a percutaneous ilioinguinal nerve block was performed with 3 mL of 2% lidocaine in single-shot. Before wound closure, the surgeon performed a splash block onto the wound with infiltration of 1.5 mL 0.25% bupivacaine. In the recovery room, quadriceps weakness and sensory loss over the anterior thigh were noted. The patient made a complete recovery 8 hrs after surgery without any treatment. We discuss the mechanism of this complication and strategies to reduce this complication.

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Temporary femoral nerve palsy after ilioinguinal nerve blockade combined with splash block for post-inguinal herniorrhaphy analgesia in a pediatric patient.

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